Evidence map›Paper›PMID 18801200›Full record

ArticleBMC musculoskeletal disorders2008

Longitudinal analysis of vertebral fracture and BMD in a Canadian cohort of adult cystic fibrosis patients.

Alexandra Papaioannou, Courtney C Kennedy, Andreas Freitag, John O'Neill, Margaret Pui, George Ioannidis, Colin Webber, Anjali Pathak, Suzanne Hansen, Rosamund Hennessey and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 33 citations in OpenAlex.

  1. Longitudinal changes in bone mineral density among adults with cystic fibrosis: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  2. Updates in Cystic Fibrosis Bone Disease in Adults.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Review
  3. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
  4. Cystic fibrosis-related bone disease: an update on screening, diagnosis, and treatment.Therapeutic advances in endocrinology and metabolism · 2025
    Review
  5. Longitudinal changes in BMD in adults with cystic fibrosis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  6. Article
  7. An update on methods for assessing bone quality and health in Cystic fibrosis.Journal of clinical & translational endocrinology · 2022
    Article
  8. Bortezomib a safe treatment for patients with multiple myeloma and cystic fibrosis.Mediterranean journal of hematology and infectious diseases · 2012
    Article
  9. Why bother to take vitamins?Journal of the Royal Society of Medicine · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Alexandra PapaioannouDepartment of Medicine, McMaster University, 1200 Main St W., Hamilton ON, L8N 3Z5, Canada. papaioannou@hhsc.ca
Courtney C Kennedy
Andreas Freitag
John O'Neill
Margaret Pui
George Ioannidis
Colin Webber
Anjali Pathak
Suzanne Hansen
Rosamund Hennessey
Jonathan D Adachi
McMaster University · CAHamilton Health Sciences · CASt. Joseph’s Healthcare Hamilton · CAThe Scarborough Hospital · CA

Funding

CIHR 88225-1
6 · The paper itself

Abstract

backgroundVertebral fractures in patients with cystic fibrosis (CF) may contribute to an accelerated decline in lung function and can be a contraindication to lung transplantation. In this study, we examined longitudinal change in bone mineral density (BMD) and the prevalence of vertebral fractures in adult CF patients, without lung-transplant, attending a Canadian specialty clinic.

methodsRetrospective chart review of all patients attending an Adult Cystic Fibrosis Clinic at Hamilton Health Sciences in Hamilton, Canada. Forty-nine of 56 adults met inclusion criteria. Chest radiographs were graded by consensus approach using Genant's semi-quantitative method to identify and grade fractured vertebrae. Dual x-ray absorptiometry (DXA) scans were also reviewed.

resultsThe mean age of the cohort was 25.2 years (SD 9.4), 43% were male. The mean body mass index (BMI) was 19.8 (2.8) for males and 21.7 (5.1) for females. At baseline, the rate of at least one vertebral fracture was 16.3%; rising to 21.3% (prevalent and incident) after a 3-year follow-up. The mean BMD T-or Z-scores at baseline were -0.80 (SD 1.1) at the lumbar spine, -0.57 (SD 0.97) at the proximal femur, and -0.71 (SD 1.1) at the whole body. Over approximately 4-years, the mean percent change in BMD was -1.93% at the proximal femur and -0.73% at the lumbar spine.

conclusionApproximately one in five CF patients demonstrated at least one or more vertebral fractures. Moderate declines in BMD were observed. Given the high rate of vertebral fractures noted in this cohort of adult CF patients, and the negative impact they have on compromised lung functioning, regular screening for vertebral fractures should be considered on routine chest radiographs.

Indexed as

Absorptiometry, PhotonAdolescentAdultBone DensityCanadaCohort StudiesCystic FibrosisFemaleHumansLongitudinal StudiesLumbar VertebraeMaleMiddle AgedMultivariate AnalysisPrevalenceRetrospective Studies

Identifiers

PMID18801200
PMCPMC2567975
OpenAlexW2037778256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.